Department of Counseling and Clinical Psychology, Teachers College, Columbia University, United States of America.
Department of Emergency Medicine, Columbia University Medical Center, United States of America.
Gen Hosp Psychiatry. 2020 Mar-Apr;63:9-13. doi: 10.1016/j.genhosppsych.2018.07.004. Epub 2018 Jul 22.
The emergency department (ED) offers a critical and unique opportunity to assess and intervene on suicide risk. Despite its potential benefits, the ED setting presents several potential sources of stress. The present paper calls attention to how suicidal patients may be especially vulnerable to stressful ED experiences.
This research synthesis cites the growing literature on ED-related stressors, as they have been shown to affect both psychiatric and nonpsychiatric patient populations.
We identified specific interpersonal, physical, and temporal features of the ED that have been shown to affect multiple patient populations, including suicidal individuals. Beyond this, there appears to be broad underutilization of therapeutic care in ED settings.
It is important to consider how the ED setting may be both helpful and harmful toward suicidal patients. We conclude with recommended domains of study and methodological considerations when pursuing these future directions. The proposed research agenda would help address this known high risk period around hospitalization and discharge, and ultimately optimize suicide prevention efforts.
急诊科为评估和干预自杀风险提供了一个关键而独特的机会。尽管有潜在的好处，但急诊环境存在几个潜在的压力源。本文提请注意自杀患者可能特别容易受到急诊环境压力的影响。
本研究综述引用了越来越多的关于急诊科相关压力源的文献，因为这些压力源已被证明会影响精神病和非精神病患者群体。
我们确定了急诊科中一些已被证明会影响包括自杀者在内的多个患者群体的特定人际、身体和时间特征。除此之外，在急诊科环境中，治疗护理的广泛应用似乎被低估了。
重要的是要考虑急诊环境对自杀患者可能有帮助也可能有伤害。我们在总结中提出了建议的研究领域和方法学考虑因素，以推进这些未来的方向。拟议的研究议程将有助于解决住院和出院期间这一已知的高风险时期，并最终优化自杀预防工作。
